NPIMap

Organization Active NPI

Robert Axelrod Dentistry LLC

  • General Practice Dentistry
  • Trumbull, CT
National Provider Identifier
1780951715
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
006018 Issued in CT
Legal business name
ROBERT AXELROD DENTISTRY LLC
Practice address
105 Technology Dr
Suite 2B
Trumbull, CT 06611-6348
Phone
(203) 261-8749
NPI assigned
Nov 18, 2011
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Axelrod, DDSNPI 1013028851
Title
Dentist/Owner
Phone
(203) 261-8749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8972 CT
General Practice Dentistry 1223G0001X 006018 CT Primary

Addresses

Primary practice location

105 Technology Dr
Suite 2B
Trumbull, CT 06611-6348

Mailing address

105 Technology Dr
Suite 2B
Trumbull, CT 06611-6348
Phone (203) 261-8749

National Provider Directory

National Provider Directory

Locations

105 Technology Dr
Unit 2B
Trumbull, CT 06611
Phone (203) 261-8749

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1780951715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TECHNOLOGY DR",
            "address_2": "SUITE 2B",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116348",
            "telephone_number": "203-261-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TECHNOLOGY DR",
            "address_2": "SUITE 2B",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116348",
            "telephone_number": "203-261-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT AXELROD DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "AXELROD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "203-261-8749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8972",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "006018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.